Active NPI
On the Bright Side Recovery LLC
- Peer Specialist
- Las Cruces, NM
National Provider Identifier
1083597801
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- Legal business name
- ON THE BRIGHT SIDE RECOVERY LLC
- Practice address
- 800 S Tornillo St
Las Cruces, NM 88001-3360 - Phone
- (575) 312-0676
- NPI assigned
- Jul 29, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jacob Pena, CPSW
- Title
- Certified Peer Support Worker
- Phone
- (575) 312-0676
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | Primary |
Addresses
Primary practice location
800 S Tornillo St
Las Cruces, NM 88001-3360
Mailing address
809 S San Pedro St
Las Cruces, NM 88001-3634
Phone (575) 312-0676
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Peer Specialist
- Las Cruces, NM
- NPI 1891680559
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1753747200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1753747200000",
"number": "1083597801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "809 S SAN PEDRO ST",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880013634",
"telephone_number": "575-312-0676"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 S TORNILLO ST",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880013360",
"telephone_number": "575-312-0676"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ON THE BRIGHT SIDE RECOVERY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-07-29",
"last_updated": "2025-07-29",
"certification_date": "2025-07-29",
"status": "A",
"authorized_official_last_name": "PENA",
"authorized_official_first_name": "JACOB",
"authorized_official_title_or_position": "CERTIFIED PEER SUPPORT WORKER",
"authorized_official_telephone_number": "575-312-0676",
"authorized_official_credential": "CPSW"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Peer Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Las Cruces, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.